Mutengo we ESR kuvana. Chii chinofanira kunge chiri zvinoreva?

ESR (erythrocyte sedimentation rate) yakafanana ne ROE (erythrocyte sedimentation reaction), asi kuongororwa uku kwakanzi iyi nguva yapfuura. Ichi chiratidzo chinowanzobatanidzwa muUAC (kuongorora ropa rose) uye kuti kuongororwa kwezvirwere kunokosha zvikuru. IE ES inotaridzwa mum mm / h, i.e. Inofungidzirwa nemamilimita akawanda anokanda iyo column muawa mu capillary Panchenkov. Erythrocytes inowira pasi, uye kubva kumusoro pane mvura inopenya - plasma yeropa. Mune mamwe mazwi, mu capillary, ropa rinopatsanurwa kuva zvikamu zviviri-zvakaumbwa zvinhu uye plasma, pakati payo pane muganhu wakajeka, pano uye inoyera ESR. IPanchenkov capillary pachayo ine chiyero chakacherechedzwa nemamilimita, apo iyo miganhu yezvikamu zviviri yakatarwa.

Zviyero zvinowanzoitwa zve ESR

Mutengo we ESR kuvana unobatana zvakananga nemakore. Muchidimbu, chiratidzo ichi hachina kutongogadziriswa, inenge ichibva kune 0 kusvika 1 mm / awa. Pachine mwedzi mumwechete iyo inowanzobuda kubva pa1 kusvika ku7 mm / awa, kusvika kumwedzi 6 kusvika 10 mm / awa. Mukuru wacho mwana anova, yakakwirira iyo inova. Pazera remakore gumi kusvika kumakore gumi nemaviri, chimiro cheESR kuvana chinobva 1 kusvika 12 mm / awa, uye nemakore gumi nemashanu zvinenge zvakafanana nevakuru - kubva 1 kusvika 18 mm / awa. A low index ye ESR haina kutakura chero dambudziko rekuongororwa, asi rinongotaura chete kuti hapana maitiro ekuvhiringidza mumuviri. Maitiro evarume nevakadzi vakuru akasiyana - muvarume inosvika 9 mm / h, uye kuvakadzi iyo yakapetwa kaviri uye inogona kusvika 20 mm / h, muvakadzi vane pamuviri dzimwe nguva inokwira kusvika 45 mm / h. Maererano nemichina yakasiyana-siyana, uwandu hwe ESR kuvana (sekuvanhu vakuru) hunogona kunge hwakasiyana, uye aya ndiwo mazano anongobatsira. Somuenzaniso, anenge makore gumi apfuura, chikamu chayo chepamusoro chevakadzi chaifungidzirwa chakaenzana ne 15 mm / h, uye vanachiremba vemazuva ano uye 20 mm / h vanoonekwa sechinhu chakanaka.

Pane zvirwere zvipi zvinowedzera ESR?

ESR muvana nevakuru vanogona kuwedzera mune chero chekuvhiringidza. Somuenzaniso, pneumonia, pyelonephritis nedzimwe zvirwere, pamwe nekupisa, kuputsika uye chero kupi kwekukuvara. Iyo yakaoma kwazvo chirwere ichi, yakakwirira ye ESR. Ichi chiratidzo chinogona kuchengetwa yakakwirira kwenguva yakakwana kunyange mushure mokunge wapora. Kuzogara, anogona kuuya kunyange pashure pemwedzi miviri mushure mekurwara.

Ndezvipi zviratidzo zvinowanikwa muJAB?

Chii chinonzi chirwere chekuchera ropa, zvichida munhu wese anoziva, asi isu tinoyeuka - iyi ibvunzo rekuongorora ropa, iro rinokubvumira kuongorora mamiriro evanhu. Nhamba ye hemoglobin (HB), leukocytes (L), ESR, maplatelet (Tr), erythrocytes, maruva index uye leukocyte fomu yakatemwa . Mukuwedzera kune kuongorora kukuru, chiremba anogona kukumbira reticulocytes, kuchenesa nguva uye nguva yekuvhara. Izvi zviratidzo zvakakosha zvikuru mukubuda ropa uye kupera ropa.

Mitemo yeHemoglobin mune vamiririri vevanhu vane simba uye vasina kusimba zvepabonde yakasiyana, kuvanhu ndeyekuti vane hemoglobin kubva 125 kusvika 160 g / l, shoma shoma iyi inowanikwa muvakadzi 120 - 145 g / l. Zviratidzo zvepamusoro, zvakaderera, zvinogona kuratidza zvirwere. Kuomesa kweropa kunowanikwa mumaawa ekutanga mushure mekubuda ropa, ne thrombophlebitis, pamwe chete nevasvuta. Chimiro chemaukocyte kubva pa3 kusvika ku 9 * 10 ⁹ / l, vanogona kusimuka mune chero zvipuka zvinokonzera. Platelets inobata kuvhara uye inotangira kubva 180 kusvika 320 * 10 ⁹ / L. Mutengo we ESR kuvana nevakuru wakanyatsoongororwa pamusoro, saka hatizoregi pazviri. Mucherechedzo wekaukocyte unokosha zvekujekesa kuongororwa. Kuwedzerwa kwebracillary leukocyte yakabatana zvakananga nekuoma kwechirwere ichi, uye kuwedzera kwemaoinophils kunogona kuratidza kugadziriswa kwemaitiro, helminthic invasions. Mukuwedzera, maererano neUAC, iwe unogona kuongorora hutachiona hwehutachiona, uye kuziva mamwe marudzi eukemia. Kupa shanduko yakapiwa inotevera mangwanani mangwanani musina chinhu chisina chinhu. Ropa rinogona kutorwa kubva kumunwe nemuviri - izvi hazvipindi mhinduro yekuongorora.